Case 88: Retained foreign body
1. What methods are there for removing rectal foreign bodies?
1. Allowing them to pass spontaneously - risks perforation if impacted2. Transanally - with analgesia or anaesthetic +/- pushing on the lower abdomen to help evacuate the object
3. Transanally - endoscopically - using the fleixble endoscope to grasp the object.
4. Transanally - using the operating sigmoidoscope
5. Transabdominally - pushing the object out the anal outlet or use of a colotomy and object removal.
2. What are the problems associated with rectal foreign bodies in general?
1. Rectal perforation - pararectal sepsis, abscess, peritonitis, fistula.2. Sphincter injury
3. Recto-vaginal fistula.
4. Recurrence due to personality / preference / associated psychiatric disorder.
Further Reading
Rectal Foreign Body - management
See other cases
See other rectal foreign body cases